Bennington, Beth K

Bennington, Beth K is an individual health care provider with primary practice located at 1200 Lagoon Ave , Minneapolis MN 55408-2077. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Bennington, Beth K can be contacted via phone (612) 823-6300.

Contact Information

Primary practice address
1200 Lagoon Ave Minneapolis MN 55408-2077
Phone: (612) 823-6300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R076808-3 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R076808-3 Minnesota

Profile Details

NPI number 1063482933
LBN Legal business name Bennington, Beth K
Credentials WHCNP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063482933 NPPES
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